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Abstract
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The purpose of this study was to investigate the relationship between alexithymia, cognitive
avoidance, and distress tolerance with obsessive-compulsive symptoms. A total of 150
students (105 girls and 45 boys) from the Ferdowsi University of Mashhad participated in
this research. The participants were asked to complete the Persian version of the 20-Item
Toronto Alexithymia Scale (TAS -20), the Cognitive Avoidance Scale (CAQ), the Distress
Tolerance Questionnaire (DTS), Maudsley Obsessive-Compulsive Inventory (MOCI), and
demographic data questionnaire. The data were analyzed using Pearson correlation and
stepwise regression. The highest correlation relationships were between Obsessive-
Compulsive with a total score of Alexithymia (r=0.43), the total score of Cognitive
Avoidance Questionnaire (r=0.39), the total score of Distress Tolerance Scale (r=-0.43),
Checking sub-scale of Obsessive-Compulsive Scale (r=0.71), Cleaning sub-scale of
Obsessive-Compulsive Scale (r=0.75), Slowness sub-scale of Obsessive-Compulsive Scale
(r=0.48) and Doubting sub-scale of Obsessive-Compulsive Scale (r=0.68). This study
showed that the subscales of cleanliness, revision, hesitation, and slowness of obsessivecompulsive
disorder and emotional dyslexia, distress tolerance, and cognitive avoidance have
the greatest contribution in predicting obsessive-compulsive disorder. The results from the
present study highlight the need to pay attention to these variables in the research and
treatment of obsessive-compulsive disorder.
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